Department of Cardiovascular Surgery, Kumamoto Central Hospital, Kumamoto, Japan.
Ann Thorac Surg. 2010 Mar;89(3):992-3. doi: 10.1016/j.athoracsur.2009.05.066.
The standard techniques and prosthetic materials for graft replacement in aortic surgery have been dramatically improved. However, persistent oozing and bleeding during aortic surgery sometimes occur and lead to life-threatening problems because of severe coagulopathy, which results from induced hypothermia, long cardiopulmonary bypass time, or fragile aortic walls by acute aortic dissection. Although various techniques and devices for reduction of bleeding have been already documented, these techniques are not always perfect and are sometimes complex. A new wrapping technique with insertion of fat tissue, as described in this report, is simple and provides a perfect hemostasis.
在主动脉手术中，用于移植替代的标准技术和假体材料已经得到了显著改善。然而，由于严重的凝血功能障碍，在主动脉手术中仍然会出现持续渗血和出血的情况，导致危及生命的问题，这些凝血功能障碍是由诱导性低温、长时间心肺旁路或急性主动脉夹层导致的脆弱的主动脉壁引起的。尽管已经有各种减少出血的技术和设备被记录在案，但这些技术并不总是完美的，有时也很复杂。本报告中描述的一种新的包裹技术，即插入脂肪组织的技术，简单且提供了完美的止血效果。
